DR. JOHN S BURRELL (M.D.) – General Practice Physician, NPI 1528062197

DR. JOHN S BURRELL (M.D.) is a healthcare provider. based in Lake city, Tennessee. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. MD0000004016 (TN). The NPI Number for DR. JOHN S BURRELL (M.D.) is 1528062197

Main info

Male
66 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOHN S BURRELL (M.D.)
NPI
1528062197
Phone
(865) 426-6719
Address
831 STEPHENS RD
Enumeration Date
10 June 2005
Last Update Date
18 June 2012

Doctor Profile

Medical School Name
UNIVERSITY OF TENNESSEE, HSC, COLLEGE OF MEDICINE
Secondary Phone
4235621705
Graduation Year
1960 (66 years ago)
PAC ID
2769678218
Group Practice PAC ID
7618887803
Professional Enrollment ID
I20101123000132
Address ID
TN377663073LA130XXLNXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:21State licenses:1Digital endpointsOther names

2,211 FAMILY PRACTICE in TN

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Provider Addresses for DR. JOHN S BURRELL (M.D.)

  • 831, Stephens Road, Kingsley, Harford Township, Susquehanna County, Pennsylvania, 18826, United States

    LAKE CITY, TN 377696126

    Phone: (865) 426-6719

    Fax: (423) 566-3718

    Type: Mailing

  • 130, Independence Lane, De Lap, La Follette, Campbell County, Tennessee, 37766, United States

    LA FOLLETTE, TN 377663031

    Phone: (423) 562-1705

    Fax: (423) 566-3718

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 32 Open Payments records for all available years, with a total value of $683.

Total Amount is formed as General ($683) + Research ($0) + Ownership ($0) = $683.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Janssen Pharmaceuticals, Inc ($120).

Total Amount

$683

General + Research + Ownership

Payments

32

Total payment records

General Amount

$683

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-11-23

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20101123000132IFamily PracticeTNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1312$0
View full utilization report →

Insurance plans in this area (ZIP 37769)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618887803View full group profile
NameSpecialtyState
P S Y C H I A T R YTN
-TN
Nurse PractitionerTN
Mental Health CounselorTN
E N D O C R I N O L O G YTN
Family PracticeTN
Physician AssistantTN
Nurse PractitionerTN
Nurse PractitionerTN
-TN

Reviews

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Frequently asked questions

What number should I use to identify DR. JOHN S BURRELL (M.D.) for billing?
Administrative and clinical systems typically use NPI 1528062197 for DR. JOHN S BURRELL (M.D.).
Is DR. JOHN S BURRELL (M.D.)'s NPI status active today?
Active status means DR. JOHN S BURRELL (M.D.)'s NPI record is not deactivated in the public file.
What type of care does DR. JOHN S BURRELL (M.D.) provide?
DR. JOHN S BURRELL (M.D.)'s profile centers on General Practice Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. JOHN S BURRELL (M.D.)?
DR. JOHN S BURRELL (M.D.) shows a connection to Lake City, Tennessee in registry-derived data.
Can I export DR. JOHN S BURRELL (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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